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題 名 | Endoscopic Guided Antegrade Esophageal Dilatation in Children=內視鏡下順向性食道擴張術對孩童食道狹窄的治療 |
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作 者 | 彭海祁; 陳厚全; 張伍泰; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 30:2 民86.03-04 |
頁 次 | 頁111-115 |
分類號 | 416.216 |
關鍵詞 | 內視鏡; 順向性食道擴張術; 孩童; 食道狹窄; Esophageal stricture; Esophageal dilatation; Endoscopy; |
語 文 | 英文(English) |
中文摘要 | 兒童的食道狹窄並不多見,除了極少數是先天性,絕大多數都是因為腐蝕性食道 炎及手術後吻合處狹窄所造成。雖然食道擴張術是治療此類病人最主要的步驟,但是孩童的 食道擴張方法,由於數量不多,並沒有結論。因為小孩不能合作,盲目地由口腔進行順向食 道擴張,不但危險也不容易成功,因此傳統的方法乃是利用胃造廔做逆行性的食道擴張,但 胃造廔在小孩併發症多,而且增加父母照顧上的困擾,因此我們嚐試利用內視鏡及導引線, 在直視下做順向性金屬食道擴張術。 自 1992 年 11 月開始至 1996 年 8 月止,本院一共 在 16 位病童身上做了 70 次此種擴張術, 這 16 位病人有 7 位是手術後吻合處狹窄所造 成,8 位是因為腐蝕性食道炎所引起,只有 1 位是胃食道逆流所產生。 這 70 次擴張術沒 有一次有重大併發症。16 位病人中,有 5 位仍在治療中,其他完成治療的,平均追蹤 2.5 年,均能得到滿意的結果。 這段期間,另有 3 位強鹼造成的食道狹窄無法成功地擴張。所 以依照我們的經驗,這種內視鏡下順向性金屬食道擴張術,對治療孩童後天性食道狹窄相當 有效和安全,是值得優先考慮的方法。 |
英文摘要 | Esophageal dilatation is usually regarded as an effective therapy in a majority of esophageal strictures in children. However, there is no conclusion on the technique of dilatation. We made a retrospective anlaysis of the efficiency of 70 antegrade esophageal dilatation procedures performed with the fiber-optic endoscope in 19 children with esophageal stricture from November 1992 to August 1996. Three children with lye ingestion were excluded beacuse the dilator could not pass the stricture. Of the other 16 children, each patient underwent 1 t0 20 procedures. Seven children had a postoperative anastomotic stricture following repair of esophageal atresia or colon interposition for caustic stricture, and eight children had an esophageal stricture following caustic ingestion. Only one child had a peptic stricture following gastroesophageal reflux. All procedures were performed under general anesthesia as an outpatient procedure. There were no complications. Five children are still in the dilatation program now. In the other eleven children who finished the treatment, the strictures were successfully resolved with an average 2.5 year period of follow up (range, 13 months to 43 months). We conclude this procedure is well tolerated and effective especially for anastomotic stricture and can be considered as a first line treatment for a child with an acquired esophageal stricture. |
本系統中英文摘要資訊取自各篇刊載內容。